David Malcolm Jeffalone Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

20740 Issued in TX

Practice address

Dentac 2410 Stanley Road
Suite 200J
Fort Sam Houston, TX 78234-6230

Phone

(210) 295-2743

Fax

(210) 295-2602

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1841252269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 RINGGOLD ROAD",
            "address_2": "FORT SILL DENTAL ACTIVITY",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DENTAC 2410 STANLEY ROAD",
            "address_2": "SUITE 200J",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782346230",
            "telephone_number": "210-295-2743",
            "fax_number": "210-295-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFALONE",
        "first_name": "DAVID",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20740",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Jameson
• Luke S Janowiak, DO
• Justin Jarisch, D.D.S.
• Erica Jarmer
• Gary Joseph Jarvis, CRNA
• Kristine Jeffers, MD
• Thomas C. Jefferson, MD
• Dale Alton Jensen, DSC PT
• Lindsay Elizabeth Jensen, PA-C
• Shane D Jensen, MD

• Dentist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.